Organization
PRIME CARE AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEKSANDR MIKHNO (PRESIDENT)
(717) 495-2594
Entity
Organization
Contact information
Practice address
561 W ROOSEVELT BLVD, PHILA, PA 19120-3703
(215) 776-8879
Mailing address
561 W ROOSEVELT BLVD, PHILA, PA 19120-3703
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11017
PA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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